Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.29 / $294.20 / $516.69	Facility		$76.29	$294.20	$516.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $221.84 / $375.12	Professional		$123.36	$221.84	$375.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.38 / $116.38 / $123.36	Facility		$116.38	$116.38	$123.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $104.86 / $123.36	Professional		$104.86	$104.86	$123.36
United Facility/Professional Professional Modifier Low / Median / High Price $112.26 / $123.36 / $199.94	Professional		$112.26	$123.36	$199.94